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HomeMy WebLinkAbout23190-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26140 Date: 12/02/98 THIS CERTIFIES that the building REPAIR ACCESSORY Location of Property: 1100 VILLAGE LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 25 Block i Lot 19 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 5, 1995 pursuant to which Building Permit No. 23190-Z dated DECEMBER 18, 1995 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is CONSTRUCT REPAIRS & INSTALL NEW CONCRETE FLOOR & FOUNDATION TO EXISTING ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to TAZEWELL A. & KATNLEEN SMITH (O~ER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Buildi~ector Rev. 1/81 FORM NO.3, TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. $OUTHOLD, N.Y. N~ 2319O Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ........................ ~ ............................... ~;..~ ...................................... ~ ................... County Tax Map No. 1000 Section ....... ~ ..... Block ........ i..~ .......... Lot No .......... .,~....~.. .......... pursuant to application dated ........ ./..,;~......~...~. ................................. 19...~.~ and approved by the Building Inspector, ~ee S..,. Rev. 6/30/80 ~FnICATIO. FO~ CERTIFICATE OF OCCUP~CY //59 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showimg all property lines, streets, building and · unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. ~ If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~mtng pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildina - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy -.$50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date · · Construction ........... Old Or Pre-existing Building...~..~ ......... , ion .... ....... i ..................... House No. Street Hamlet ·wer or Owners of Property.. ..~ ..................... ,u~ty ~ ~ap ,o ~O00, ~ec~ion....Z.~ ...... Bloc~ ..... ~ .......... not...~. ................ ~bdivision .................................... Filed Map ............ Lot ...................... ~rmit No Date Of Permit . Applicant . · ~alth Dept Approval.... .. Underwriters Approval . .... £auning Board Approval ........................ aquest for: Temporary Certificate ........... Final Certicate ........... ~ ~ 5 q? z~ ~ ~PPnICANT ~ ~ F ELD INSPECTI N REPORT DATE / __ COMMENTS FO~ATION (2~) II ~ ROUGlt FRAME & PLUMBING II ADDITIONAL CO~IENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [~]~NAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ 765-1802 BUILDING DEPT. / 41 SPECTION [//~/FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ] INSULATION ] FINAL DATE I N $ PECT~,/~ TOWN OF SOUTBOLD BUILDING DEPARTmeNT OffiCe 9f the Building Inspuotor Town Hall Southold, N.Y. UPDA'Ff~O PR~ EXISTING CERTIFICATE OF OCCUPANC~ Date ~ON~ 5r 19.91.. _ .... V, .T~IS'C~RTIFXES ~ha= the building ~_ DwET I,ING Location of Prope£ty 1100 VILLAGE. LANF. · ~:,~-': '.' ~" '~... HOUSe 'County T~X Map No. 1000 Sect,.on 25 S~divi~lOn , ' Filed Map ~o.~ ORIENT,. N.Y. Street .~amle'~ Lot No.. _ conforms substantially to the requirements for a One Family Dwelling with hpartment & Store or Office built prior to: ~PRI5 9~,,195~ pursuant to which UPDATED CErTiFICATE OZ OCt. #Z-..%9~.4__4 dated .OUN~ 5.,..1991.. wa~ issued, and conforms to all of thm r~quirements o~ %~e applicable prowislona of the law. Thu OCCUpancy for whioh this certificato issue~' la,,.ONE FAMILY DWV~LLI~G..W~TK NON~CONI~.Oi{~G ~ARTMENT BUILDINO (STORE OR OF~..CE) a AC.CASRORY flu .I~D. !_HQ. * . ~h~ c~ti'fiCata is issued to,',, SI~T3~ z_u/~/SKY .... ! (ownor) o£ ~he aforeeeid bull~Lng. SU~'fOLK COUNTY.DEPARTMENT OF MEALTH ~=~oVAL. N/A UNDERWRITgKS C~RTXFICATE NO. pLUMbERS CERTIFICATION DATED. N/A -HOTE: THIS UPDATES PRE-CO Z-7667 pa:~D MAY 19, i977. ( FOI{M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.~765-1B03 E,~an,i,ed../..~ .~.~ ...... ,19 Al,proved . , .~. ¢'~.~. ..... , 19~i~nit No. ~.. ~. ~.~..~. /~ Disapproved a/c ..................................... ........................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 3 SETS OF PL,,IHS SURVEY CIIECK SEPTIC FORtl CALL · . ...... HAIL TO: a. This application must be completely filled in by typewriter or in ink and submitted to tile Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing Iocatiou of lot and of buildings on premises, relationship to adjoining premises or pul)lie streets or areas, and giving a detailed description of layont of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this applicatiou, the Building Inspector will issued a Building Permit to the applicant. Snch permit shall be kept on the premises available for iuspection throughout the work. e. No building shall be occupied or used in whole erin part.]~or any purpose whatever until a Certificate of Occupancy shall have been granted by the Buikling Inspector. ':~ APPLICATION IS HEREBY MADE to the Bnilding Departmen~J~}&b~sauance of a Building Permit pursuant to the Buikling Zone Ordinance of the Town of Southold, Suffolk Connty, New~gf~, and other apphcable Laws, Ordinances or Regulations, for the constmctioo of buildiugs, additions or alterations,~t ~'iOh~oval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit atttborized inspectors on premises and in building for necessa~ insp~c~io~ ~ ~ ~ ..~...1....~~,~ U ~ ~ ......... ,''', .... ~(~nature of~applicant, or name, if a ccrF~r~;ic,;;~ .. ~R%.. ~.L~R ........................... (Mailing address of 9pplicant) State whetlmr al)plicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plnmber or builder. Name of owner or p,e,,,~ses .... ~c,.. ~.* ~.../q C~.,...T~..~.... 5~. r, ........................ (as on tile tax roll or latest deed) If apl)licaut is a corporation, signature of dnly authorized officer. (Name and title of corl)orate officer) ]3uilder's License No .......................... Plumber's License No ......................... Llect cia i s Lice ise No ....................... r'r~,sbr, C.i~r, Tr'o.c.'Tbr t4-to tk 1"Sb"q¢ ~..I2 Otbei' Tr~de's License No ...................... Location of land on which proposed wolk will be done .................................................. ..... ,!.o.t o .............. v",',.- ~-,~ .'3... < .................... ~.,q. n e,. .0. r:(.e.~T:. ........ ~..'.'.'.Y ................ llouse Number Street tlamlet Cotmty Tax Map No. I000 Section ~ ~- Block .... ~.. l Lot ) 9 (!q.-.'~m~),. State existing nsc and occupancy of premises and intended use and occupancy of proposed construction:- a. Existing nsc and occupancy 6 ?~.~. ~.~ k] ............................... , ...... b. hHended use and occupancy ........................... ~ ................................. · Nature of work (check which app,bcable): New Braiding .......... Addition .......... Alteration .......... ~t,~e..P, epa!r )L,..0<,5..ck, ... Remc;r~L- ........... ~ ..... Other Work/~.e~ .~.oY'e.F~¢. s B~a'll , ., , 4:t, tt ndo~44 o~0 · (Description) ' ' ..................... (to be paid on filing this application) 5. If dwelling, number or dwelliug nNts...':~.]A.~ Number of dwel lng units on each aoor.. . If garage nulberofcars ~ ' '~ ...... 7. D nensonsoFexst ~gstn~ctures if any'Front ~1 1~ ~1 15ant, O' ~;t + lle~ght ~9..~./~ Nu,nb,er of Stories .... ~.x.l.~ ~q ............................ Dimensions of same ~tn,ctt,re w ti a teratio ~s or ~aa tions: Front t .a ........... Re-r '5[ ]'. ]] ......... Depth ...... X.~. ~ Height...L~'. NtmberofStories ....... .~'[~ ~;~"]"]'.) ... 8. D ne~sonsofentreneweo~strt~tio~.Frolt ~¢~e~gq ~ lle,ght ....[b ......... Number of Stor es B}.T ~BT~. ~ao .... /~ g~C~ S~zeollot: Front 5 ~¢~.0, Rear .~..~ ............ Depth ./D.-..4t'...!.fQg.~.~ 10. Dale of Purchase .... ~. ¢.q.{...l ......... ......... Name of Former Owner ............................. I 1. Zone or use d~stnct m which pren:uses are s~tuated ...................................... , ............ ,- 12. Does p,'oposed construction vipla{e any zoning law, ordinance or regt, lation:~..55d. 13. Will lot be regraded .... '..~9.1 .................. Wilt excess fill be removed from premises: Yes 14. Name of Owner of premises ~.. ~]~ 2~... Adaress ................... Phone No ................ Na ne of Arc Ftect ~ ~.%~ ' - '~ ' . .... '.., ................ aaaress ...... , ............. Phone No ................ Name of Contractor .~.~..~a~ ....... Sadness...OCL~n~ ....... {'hone No. ~ 15. la tbt. s property within 300 feet: of a tidal weclandV . *Yes ........ Ro...~ .... · if yes, 8outbold Town Trustees Permit: may be required. PLOT DIAGRAM Locate clearly and distlnc(ly all uildings, whether existing or proposed, and. indicate all set-back dimensions property lines. Give street and block n unber or description according to deed, and show street names and indicate whether interior or corner lot. STATE,OF NEW YORK.. COUN'I V OF..©.Ltf'~,t~,O.4~... ............ ..'~..~..~ ..... 0 (Name of indDidual signing contract) (Contractor, agenl , cor potato offer , elc . ) ot said owner or owners, and Is dnly aufliorized to perform or bare performed tim said work and to make and file this qflioaiion; that all statements contaiqed in this appliCation are true to the best of his knowledge and belief; aud that the work will bg performed tu tim manner Set forth tn the applioMion filed therewith. Sworn to before me this Nota~ I ublic,. ~=~~. ~ ...... County ' YCE M. WILKIN~ ' ~ ~ ~.' .... No. 4952246, Suffolk Count_ Term Expires June ,2, ~ 9~7 ~'x'xOl~O . oG, %